NPIMap

Organization Active NPI

Roswell Clinic Corp

Doing business as Eastern Plains Urology

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
National Provider Identifier
1396958633
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROSWELL CLINIC CORP
Doing business as
Eastern Plains Urology
Practice address
350 W Country Club Rd
Suite 205
Roswell, NM 88201-5205
Phone
(505) 622-7593
Fax
(505) 622-5538
NPI assigned
May 7, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSWELL CLINIC CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(877) 892-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

350 W Country Club Rd
Suite 205
Roswell, NM 88201-5205

Mailing address

330 Franklin Rd
135A-599
Brentwood, TN 37027-3280

Other names 1

  • Eastern Plains Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000799 NM Part B Supplier - Clinic/Group Practice 9436062759 Receives reassigned benefits from 69 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roswell, NM; Hobbs, NM; Carlsbad, NM; Artesia, NM

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Roswell Clinic Corp

Locations

612 N 13th St
Ste C
Artesia, NM 88210
Phone (575) 736-1793

115 E 23rd St
Roswell, NM 88201
Phone (505) 625-1292

300 W Country Club Rd
Ste 130
Roswell, NM 88201
Phone (575) 625-2669

300 W Country Club Rd
Ste 220
Roswell, NM 88201
Phone (505) 625-1292

300 W Country Club Rd
Ste 230
Roswell, NM 88201
Phone (575) 622-1411

601 W Country Club Rd
Ste 202
Roswell, NM 88201
Phone (575) 622-2911

607 W Country Club Rd
Ste 202
Roswell, NM 88201
Phone (575) 624-0400

808 N Union Ave
Roswell, NM 88201
Phone (505) 622-1411

808 N Union Ave
Ste A
Roswell, NM 88201
Phone (575) 622-1411

808 N Union Ave
Ste B
Roswell, NM 88201
Phone (505) 622-1411

159 Mescalero Trl
Ruidoso, NM 88345
Phone (505) 257-3681

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1396958633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "address_2": "135A-599",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015205",
            "telephone_number": "505-622-7593",
            "fax_number": "505-622-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSWELL CLINIC CORP",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Plains Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.